PMID- 11099146 OWN - NLM STAT- MEDLINE DCOM- 20010809 LR - 20190716 IS - 0001-6489 (Print) IS - 0001-6489 (Linking) VI - 120 IP - 6 DP - 2000 Sep TI - Distribution of HLA-A, -B and -DRB1 alleles in patients with sudden sensorineural hearing loss. PG - 710-5 AB - This study was performed to investigate the association between human leukocyte antigen (HLA) and susceptibility to sudden sensorineural hearing loss in the Korean population. HLA-A and HLA-B typing using a standard microlymphocytotoxicity technique and HLA-DRB1 genotyping were performed in 35 patients with sudden sensorineural hearing loss and in 206 healthy controls. Prednisone (usual dose 60 mg/day) was administered for 6 days and tapered for an additional 4-6 days. Both initial hearing levels at the onset of deafness and final hearing levels after treatment were examined and evaluated for association with HLA alleles. The frequency of HLA-DRB1*14 was increased in patients with sudden sensorineural hearing loss compared with controls (relative risk [RR] = 2.7, p = 0.016). The frequencies of HLA-A2, -A31, -B52, -B61, -DRB1*04, -DRB1*11 and -DRB1*12 were slightly higher than in the controls, but did not reach statistical significance. When an association between the treatment results and HLA alleles was also evaluated, the frequency of HLA-DRB1*04 was found to be increased in the patients who did not respond to steroid treatment compared with both patients who responded well to steroid (50%, vs 16%, p = 0.034) and controls (RR = 3.0, p = 0.046). These results suggest that there is an association between HLA-DRB1*14 and disease susceptibility and that the presence of HLA-DRB1*04 may be an useful marker for predicting a poor prognosis in Korean patients with sudden sensorineural hearing loss. FAU - Yeo, S W AU - Yeo SW AD - Department of Otolaryngology, Kangnam St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Seoul, South Korea. swyeo@cmc.cuk.ac.kr FAU - Chang, K H AU - Chang KH FAU - Suh, B D AU - Suh BD FAU - Kim, T G AU - Kim TG FAU - Han, H AU - Han H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Acta Otolaryngol JT - Acta oto-laryngologica JID - 0370354 RN - 0 (Anti-Inflammatory Agents) RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - VB0R961HZT (Prednisone) SB - IM MH - Adult MH - Aged MH - Anti-Inflammatory Agents/administration & dosage/therapeutic use MH - Audiometry, Pure-Tone/methods MH - Female MH - Gene Frequency/*genetics/*immunology MH - Genetic Predisposition to Disease MH - Genotype MH - HLA-A Antigens/*genetics/*immunology MH - HLA-B Antigens/*genetics/*immunology MH - HLA-DR Antigens/*genetics/*immunology MH - HLA-DRB1 Chains MH - *Hearing Loss, Sudden/diagnosis/drug therapy/ethnology/genetics/immunology MH - Humans MH - Korea/epidemiology MH - Male MH - Middle Aged MH - Prednisone/administration & dosage/therapeutic use MH - Recovery of Function MH - Severity of Illness Index EDAT- 2000/12/01 11:00 MHDA- 2001/08/10 10:01 CRDT- 2000/12/01 11:00 PHST- 2000/12/01 11:00 [pubmed] PHST- 2001/08/10 10:01 [medline] PHST- 2000/12/01 11:00 [entrez] AID - 10.1080/000164800750000225 [doi] PST - ppublish SO - Acta Otolaryngol. 2000 Sep;120(6):710-5. doi: 10.1080/000164800750000225.